Sarah Sullivan
Tampa,Florida
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 6 years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
13
13
years of professional experience
Work History
Dental Assistant
Dr. Denavarra DMD
St. Petersburg, Florida
07.2020 - 11.2021
- Sterilized rooms and prepped equipment and instruments for all procedures.
- Took dental images following strict patient protection rules, applying lead aprons.
- Used EZ Dental to document and maintain patient information and health background.
- Performed general chair-side duties for general dentistry, endo procedures and I.V sedation oral surgery.
- Fabricated temporary crowns & assisted with delivery of permanent crowns.
Administrator
Sullivan's Painting
Riverview, Florida
07.2016 - 03.2020
- Managed payroll, transactions, invoicing and budgeting to decrease financial inconsistencies.
- Managed scheduling for staff, monitoring resource allocation to provide optimal coverage & service
- Schedule meetings, order supplies, email pre-estimates.
- Organized and maintained filing and document management systems by coordinating and archiving.
Financial Clearance Specialist
H. Lee Moffitt Cancer Center
Tampa, Florida
03.2016 - 09.2018
- Utilized Emdeon, Availity, NIA, etc. to obtain various authorization approval.
- Managed and obtain insurance authorizations for patient referrals from physicians.
- Gathered and verified insurance requirements to meet payer requirements.
- Assisted patients by answering questions and providing information regarding referrals & authorization
- Entered confidential patient information and updated electronic records in database.
Dental Claims Processor
Liberty Dental Plan
Tampa, Florida
07.2015 - 03.2016
- Created master spreadsheet to record procedures, denials, and approvals.
- Process 120-140 dental claims per day with 99% accuracy rate.
- Verify member eligibility and provider contracts.
- Prioritize tasks to ensure deadlines were met in accordance with claim procedures.
Referral Specialist
Florida Orthopedic Institute
Tampa, Florida
06.2013 - 07.2015
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for services.
- Assisted patients by answering questions and providing information regarding referrals.
- Entered patient demographic into EMR datebase.
Customer Service Representative
Capital One
Tampa, Florida
12.2010 - 06.2013
- Assist clients in a one-call resolution, process payments, release funds on account if applicable.
- Explain card benefits, APR, billing cycle, rewards, etc.
- Add/remove authorized users, redeem rewards for cash back, credit or check.
- Update client demographics.
- Create a case file for fraud department to investigate fraudulent activity.
- Close account, issue replacement card as necessary.
Education
Dental Assistant
Sanford Brown Institute
Tampa, FLAssociate
Hillsborough Community College
Tampa FLSkills
- Strong MS Access and Excel
- Detail-Oriented
- Time Management
- Excellent oral & written communication skills
- EMR Software
- Critical Thinking
- Insurance & benefits verification
- Authorization & Referral
- ICD-10 & CPT knowledge
Timeline
Dental Assistant
Dr. Denavarra DMD
07.2020 - 11.2021
Administrator
Sullivan's Painting
07.2016 - 03.2020
Financial Clearance Specialist
H. Lee Moffitt Cancer Center
03.2016 - 09.2018
Dental Claims Processor
Liberty Dental Plan
07.2015 - 03.2016
Referral Specialist
Florida Orthopedic Institute
06.2013 - 07.2015
Customer Service Representative
Capital One
12.2010 - 06.2013
Dental Assistant
Sanford Brown Institute
Associate
Hillsborough Community College
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